Individual
DR. JOHN ROBERT OTTERBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D-CLINICAL PSYCH
Contact information
Practice address
146 MONROE CENTER, SUITE 730, GRAND RAPIDS, MI 49503
(616) 634-2467
(616) 454-2855
Mailing address
146 MONROE CENTER, SUITE 730, GRAND RAPIDS, MI 49503
(616) 634-2467
(616) 454-2855
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301000990
MI
Other
Enumeration date
09/05/2008
Last updated
09/16/2008
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